Active NPI
Harvest Homecare, LLC
- Home Health Agency
- Kannapolis, NC
National Provider Identifier
1740322163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3483
- Legal business name
- HARVEST HOMECARE, LLC
- Practice address
- 208 Nellie Yale PL
Kannapolis, NC 28083-7821 - Phone
- (704) 932-9357
- Fax
- (866) 496-6154
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Willie Marie Johnson, RN
- Title
- Manager
- Phone
- (704) 932-9357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3483 | NC | Primary |
Addresses
Primary practice location
208 Nellie Yale PL
Kannapolis, NC 28083-7821
Mailing address
208 Nellie Yale PL
Kannapolis, NC 28083-7821
Phone (704) 932-9357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC3483 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740322163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 NELLIE YALE PL",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280837821",
"telephone_number": "704-932-9357",
"fax_number": "866-496-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 NELLIE YALE PL",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280837821",
"telephone_number": "704-932-9357",
"fax_number": "866-496-6154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARVEST HOMECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "WILLIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "704-932-9357",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HC3483",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.